Carvajal, William

Carvajal, William is an sole proprietor health care provider with primary practice located at 101 Archway Ct , Lynchburg VA 24502-2890. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Carvajal, William can be contacted via phone (434) 832-8040.

Contact Information

Primary practice address
101 Archway Ct Lynchburg VA 24502-2890
Phone: (434) 832-8040
Fax: (434) 832-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0438000081 Virginia

Profile Details

NPI number 1750493193
LBN Legal business name Carvajal, William
Credentials D.D.S, M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750493193 NPPES
Virginia Other 9179586 DORAL DENTAL
Virginia MEDICAID 010176743 DORAL DENTAL
Virginia Other 462917 DORAL DENTAL

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